Provider Demographics
NPI:1992837173
Name:ACCREDITED HEALTH SERVICES
Entity Type:Organization
Organization Name:ACCREDITED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE AND PRIVACY OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONASTIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-379-1600
Mailing Address - Street 1:3010 LYNDON B JOHNSON FWY STE 1100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2712
Mailing Address - Country:US
Mailing Address - Phone:800-379-1600
Mailing Address - Fax:903-537-8420
Practice Address - Street 1:235 MOORE ST
Practice Address - Street 2:201
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7425
Practice Address - Country:US
Practice Address - Phone:201-342-8844
Practice Address - Fax:201-342-8477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL HOME HEALTH CARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-12
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0035001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0067822Medicaid
NJ0281476Medicaid
NJ0063185Medicaid
NJ0067806Medicaid